title: Robot-assisted Mitrofanoff and Malone antegrade continence enema reconstruction using divided appendix.
abstract: Fecal soiling or intractable constipation frequently occurs in association with urinary incontinence in children with varying pathologic conditions. To manage double incontinence or the combination of wetting and severe constipation, a Mitrofanoff conduit and a channel for antegrade continence enema is constructed using the appendix by open surgery. We present a video of the first case of robot-assisted laparoscopy for simultaneous reconstruction of a continent urinary diversion using the Mitrofanoff principle and a Malone antegrade continent enema using the divided appendix.
authors.affiliation: Pediatric Urology, Sterling Hospital, Ahmendabad, India. dr_thakre@hotmail.com
authors.forename: Atul A
authors.initials: AA
authors.lastname: Thakre
authors.forename: C K
authors.initials: CK
authors.lastname: Yeung
authors.forename: Craig
authors.initials: C
authors.lastname: Peters
mesh_terms: D000714:Anastomosis, Surgical; D001065:Appendix / Q000601:surgery*; D002648:Child; D004733:Enema / Q000379:methods*; D005242:Fecal Incontinence / Q000601:surgery*; D005260:Female; D006801:Humans; D010537:Peritoneum / Q000473:pathology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012371:Robotics; D014549:Urinary Incontinence / Q000601:surgery